The content of this article is the analysis of missionary processes of a chosen company for research, with the aim of reviewing its performance on information systems. The purpose of the project is to adjust the COBIT v5 reference model, based on a goals cascade, so that they focus on their own TI areas' processes, from Small and Medium Enterprises (PYME) of the health sector, reviewing the actual status of PYME taken as a study case, identifying processes, applicable tools and controls, and prioritizing these processes within the government framework. All this, in order to have PYMES of the health sector own a government model available, to allow them the development of actions, focused towards a continuous improvement of the organization, validating procedures for internal processes, and being aligned with the business corporate purpose, and/or making an internal auditing of TI, based on best practices with support and recognition, allowing an appropriate use of technology in the business processes.